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General NPI Number Information
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NPI Number | 1508901216
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Entity Type | Organization
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Legal Business Name | RICHARD A RUBINSTEIN, JR, MD
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST STE 138
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City | PORTLAND
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State | OR
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Zip | 97213-2955
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Country | US
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Telephone | 503-238-1061
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Fax | 503-238-0841
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Provider Business Mailing Address
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Address Line | 5050 NE HOYT ST STE 138
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City | PORTLAND
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State | OR
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Zip | 97213-2955
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Country | US
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Telephone | 503-238-1061
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Fax | 503-238-0841
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICHARD A RUBINSTEIN JR.
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Credential | MD
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Telephone | 503-238-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD15207
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License Number State | OR
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